PACs after ablation

Posted by tugboater @tugboater, Jun 1, 2019

Hello I am a 37 year old male 9 months ago I had ablation done for a fib and a flutter . Ever sense ablation I’ve been having pacs that come and go on metoprolol 25mg twice daily have The option to go on Flecainide but very hesitant .tried everything any advice would be greatly appreciated thanks

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Profile picture for dlptlp @dlptlp

@jw87 How did it go?

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@dlptlp
Hi, thank you for reminding me. I cannot believe how simple and easy it was to go through that procedure. Totally amazing! I told the anesthesiologist that I have to cough all the time because of having bronchiectasis and I was worried about the breathing tube affecting my throat. She said they’d be very careful and apparently they were because I had hardly any problem at all. The incision was barely there and healed so fast. I couldn’t believe it. Recovery was good too. I mean, I don’t have anything to complain about. I have had a few episodes of a fib, but they have been mild and converted on their own. They say that the first three months is the blanking period, where you may still have some a fib, but it hasn’t taken full effect yet. I go to OHSU and I have a great electrophysiologist. They have really come a long way with this procedure. And I hope that that helps you with making decisions. I wish you the best in your health journey.

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Profile picture for JaniceR @jw87

@dlptlp
Hi, thank you for reminding me. I cannot believe how simple and easy it was to go through that procedure. Totally amazing! I told the anesthesiologist that I have to cough all the time because of having bronchiectasis and I was worried about the breathing tube affecting my throat. She said they’d be very careful and apparently they were because I had hardly any problem at all. The incision was barely there and healed so fast. I couldn’t believe it. Recovery was good too. I mean, I don’t have anything to complain about. I have had a few episodes of a fib, but they have been mild and converted on their own. They say that the first three months is the blanking period, where you may still have some a fib, but it hasn’t taken full effect yet. I go to OHSU and I have a great electrophysiologist. They have really come a long way with this procedure. And I hope that that helps you with making decisions. I wish you the best in your health journey.

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@jw87
Was your ablation a pulsed field ablation? That’s the newest procedure. It has fewer side effects.

REPLY
Profile picture for JaniceR @jw87

@dlptlp
Hi, thank you for reminding me. I cannot believe how simple and easy it was to go through that procedure. Totally amazing! I told the anesthesiologist that I have to cough all the time because of having bronchiectasis and I was worried about the breathing tube affecting my throat. She said they’d be very careful and apparently they were because I had hardly any problem at all. The incision was barely there and healed so fast. I couldn’t believe it. Recovery was good too. I mean, I don’t have anything to complain about. I have had a few episodes of a fib, but they have been mild and converted on their own. They say that the first three months is the blanking period, where you may still have some a fib, but it hasn’t taken full effect yet. I go to OHSU and I have a great electrophysiologist. They have really come a long way with this procedure. And I hope that that helps you with making decisions. I wish you the best in your health journey.

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@jw87 Thank you for replying and the success. I am eager to do it and get it done.

REPLY
Profile picture for JaniceR @jw87

@jw87
Was your ablation a pulsed field ablation? That’s the newest procedure. It has fewer side effects.

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@jw87 https://www.jacc.org/doi/10.1016/S0735-1097%2824%2902186-7

The only benefit, so far, between RF and PFA is that the PFA does not require a TEE during the procedure due to the nature of the energy. PFA does not enjoy statistically significant success in recurrence of arrhythmia over RF ablations. PFA requires considerably more exposure to fluoroscopy than do either cryo or RF ablation.

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Profile picture for dlptlp @dlptlp

@jw87 Thank you for replying and the success. I am eager to do it and get it done.

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@dlptlp
You’re welcome! Everything that has to do with the heart is scary, so it’s important to reassure others when we’ve had a positive experience. I hope everything goes as well for you as it did for me.

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Profile picture for JaniceR @jw87

@dlptlp
You’re welcome! Everything that has to do with the heart is scary, so it’s important to reassure others when we’ve had a positive experience. I hope everything goes as well for you as it did for me.

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@jw87 Thank you. Here is praying and hoping. My situation is different. I don't have symptoms, I don't feel bad. I don't know I am in AFib however I have AFib per the cardiologists and my EKG's.

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